BLAKE THOMAS PRATHER

KOKOMO, IN
NPI1356636799
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IN  12011651A)
Enumeration Date2011-06-14
Last Update Date2014-06-26
Business Address
Dr. BLAKE THOMAS PRATHER DDS
112 E ALTO RD
KOKOMO, IN 46902-3601
Phone number: 765-455-2505
Mailing Address
Dr. BLAKE THOMAS PRATHER DDS
112 E ALTO RD
KOKOMO, IN 46902-3601
Phone number: 765-455-2505
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